Individual
DANIEL JOHN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 AAA WAY, CARMEL, IN 46032-3210
(317) 848-5494
(317) 575-0392
Mailing address
PO BOX 312, CARMEL, IN 46082-0312
(317) 848-5494
(317) 575-0392
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01025694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086078
ANTHEM
IN
01
—
4004458
AETNA
IN
Enumeration date
05/10/2006
Last updated
07/08/2010
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